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What Does The Scan Report Suggest?

Posted on Thu, 20 Nov 2014

Question: Hi,
My wife is a 37 week pregnant. Her afi level is 12.5. And baby's scan reports say
BPD: 88mm
Fl : 64 mm
FAC : 280 mm
Ave gest age : 36-37 wks
Fhr :147 b/mt
App foet wt : 2-2.1 kg +\- 200 GMs
Placenta : fundoanterior,gr-2 maturity

And our doctor says to have astymin 3iv once for three days till delivery of baby , since the baby weight is less because of low amniotic fluid, and it also helps provide sufficient nutrients to the Baby.
Can u plz suggest, whether my doctor suggested right during this stage of pregnancy?

Answered by Dr. Richa Agarwal (40 minutes later)

Brief Answer:
Yes, your doctor is right.

Detailed Answer:
Hi,

Thanks for writing to us about it.

I can understand your concern, though.

Fetal weight at 37 weeks of pregnancy on an average is 2.8 kg, as your baby weight is 2.1 it means that her weight is less according to gestational age.

Average AFI at 37 weeks is 8-18, above 12 is considered normal.

So your doctor is right at this age, she should give way for astymin injection they are amino acid and helpful in fetal weight gain and increase amniotic fluid.

She should take balanced, healthy diet and high protein in it.

Hope it is useful, feel free to ask more.

Good luck.
Regards
Dr.Richa

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Richa Agarwal (37 hours later)

Thanks for ur reply.
My wife suffered some pain in her stomach i .e, on the above part of stomach.
I hurried to the hospital thinking about delivery pains, our doctor suggested for a scan to see the position of baby. And also said With that we shall decide to have a cesarian or wait for few days for a normal delivery.the scan report is as following,

Foetal parameters ,,,,
BPD. .. 89 mm
Fl ...... 65 mm
FAC. .... 293 mm
Ave gest age ..... 37 weeks
Fhr : basal : 140b/mt. Reactive : 158 b/my
App foet wt : 2.3 k . +/_ 200gms
Foetel movements and cardiac pulsations : good
Placenta : fundoanterior, gr - 2 maturity
Liquor amni : adequate
No obvious congenital anomalies are noted
Foetal tone and breathing movement - good

Impression. : u/s findings are suggestive of-
Single live intrauterine foetus with a gest age of 37 weeks with cephalic presentation ( loa at present )
Single loop of cord round the neck ( at present)
Bio physical score - 10

Can u please suggest us further
We wanted to go for a normal delivery. Please advise us about what we should ask our doctor..

Answered by Dr. Richa Agarwal (15 hours later)

Brief Answer:
Yes you can wait for normal delivery.

Detailed Answer:
Hi,

Sorry for the long delay in my response.

I can understand your concern, though.

I have worked through your scan reports, it is showing that your baby weight and other parameters are quite low, according to age and baby is having one cord around neck.

In your case my view is-

-You should wait till the maturity of the fetus (38 weeks) (keep watch on fetal biophysical profile)
-You should ask your doctor that whether she is interested in astimyn injection for fetal weight gain and increase amniotic fluid.
-Normal delivery is possible unless and until there is no complication to your baby like asphyxia etc. (because the baby biophysical profile, position is normal)
-One cord around the neck is not an indication of C-section, normal delivery is possible in expert hand.
-She should take high protein diet to increase fetal weight.
-Sleep in left lateral position

Hope it is useful, feel free to ask more.

Again, sorry for my delay in reply.

Good luck.
Regards
Dr.Richa

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju